Certified Pediatric Emergency Nurse (CPEN) Practice Exam

What is the first step recommended for IV access in an emergency situation?

1. Wait for stabilization

2. Initiate intraosseous access

3. Establish IV access in less than 90 seconds

4. Administer fluids immediately

The correct answer is: Establish IV access in less than 90 seconds

In an emergency situation, establishing IV access quickly is crucial because it allows for the rapid administration of medications and fluids that may be necessary to stabilize the patient. The goal is to ensure vascular access is obtained in less than 90 seconds to ensure timely intervention, particularly in critically ill or injured children. This time-sensitive action is essential for managing emergencies effectively. Establishing IV access promptly can lead to improved outcomes, especially in situations involving trauma, shock, or severe dehydration, where delays could worsen the patient's condition. While intraosseous access is an alternative if IV access proves difficult, the first recommended step is to attempt IV access as the primary means of fluid and medication administration in emergencies. Other actions like waiting for stabilization or administering fluids immediately without IV access may not be optimal in urgent scenarios where immediate access is essential.